Abstract:
:A 55-year-old woman underwent orthotopic liver transplantation for autoimmune chronic active hepatitis. Extensive portal and superior mesenteric venous thrombosis precluded standard portal venous reconstruction and necessitated use of a venous conduit from the recipient splenic vein of the donor liver. Flow through this conduit was poor, however, and to prevent subsequent portal venous thrombosis and graft loss, the conduit was arterialized by end-to-side anastomosis with the recipient hepatic artery. This ensured graft survival but resulted in prehepatic portal hypertension, which required ligation of the arterioportal fistula for 4 months. The patient had a satisfactory outcome.
journal_name
Transplantationjournal_title
Transplantationauthors
Neelamekam TK,Geoghegan JG,Curry M,Hegarty JE,Traynor O,McEntee GPdoi
10.1097/00007890-199704150-00022subject
Has Abstractpub_date
1997-04-15 00:00:00pages
1029-30issue
7eissn
0041-1337issn
1534-6080journal_volume
63pub_type
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